Explore Our Services
Explore the specialties, conditions, and therapeutic approaches offered at Manifest Psychotherapy and Wellness. Learn more about what different approaches involve, who may benefit, and what therapy may look like so you can find the support that feels right for you.
What We Offer
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Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based therapy that helps people process traumatic and other distressing experiences. It can be helpful for concerns including PTSD, anxiety, depression, grief, and other experiences that continue to affect how you think, feel, or respond in the present.
EMDR uses guided bilateral stimulation, such as side-to-side eye movements, sounds, or tapping, while you briefly focus on a distressing memory or experience. This process is intended to help the brain reprocess memories so they feel less overwhelming and no longer trigger the same level of emotional or physical distress.
EMDR may benefit adolescents and adults who are experiencing the effects of trauma or other distressing experiences. It may be especially helpful for people who feel stuck in patterns of fear, anxiety, painful memories, or strong emotional and physical reactions connected to past experiences.
A typical EMDR therapy session lasts 60–90 minutes. EMDR may be incorporated into traditional talk therapy, used alongside another form of therapy, or provided as a stand-alone treatment. Treatment begins with building safety and developing coping skills before moving into reprocessing when you feel ready. Throughout the process, your therapist will work at a pace that feels manageable and supportive.
Learn more about EMDR here: https://www.emdria.org/about-emdr-therapy/ -
Internal Family Systems (IFS) is a therapy approach that views the mind as made up of different “parts,” each with its own thoughts, feelings, and roles. Some parts may carry painful emotions or experiences, while others work to protect us from being hurt. IFS helps you better understand these parts with curiosity and compassion.
IFS focuses on building a relationship with your different parts and helping you understand what they need and what they are trying to protect you from. Through this process, you can develop greater self-awareness, compassion, and balance while helping parts that feel stuck, overwhelmed, or burdened take on healthier roles.
IFS may be helpful for people experiencing anxiety, depression, trauma, panic, grief, difficult emotions, or patterns that feel hard to change. It can also support people who want to better understand themselves, strengthen self-compassion, and create greater harmony within themselves.
IFS therapy is collaborative and typically involves identifying and getting curious about different parts of yourself. Your therapist may use conversation, visualization, mindfulness, or other exercises to help you connect with these parts and better understand their experiences, fears, and protective roles. The goal is not to get rid of parts, but to help them feel heard, supported, and less overwhelmed.
Learn more about IFS here: https://ifs-institute.com -
Acceptance and Commitment Therapy (ACT) is a therapy approach that helps you build a more flexible relationship with difficult thoughts and emotions. Rather than trying to eliminate uncomfortable feelings, ACT focuses on making space for them while identifying what matters most to you and taking meaningful steps toward the life you want.
ACT uses mindfulness, acceptance, values exploration, and other exercises to help you notice thoughts and emotions without letting them automatically determine your actions. The goal is to develop greater psychological flexibility and make choices that are guided by your values rather than by fear, avoidance, or difficult emotions.
ACT can be helpful for people experiencing anxiety, depression, stress, OCD, PTSD, social anxiety, and other mental health concerns. It may also be a helpful approach for anyone who feels stuck in patterns of avoidance, overthinking, or struggling to live in alignment with what matters most to them.
ACT is personalized to your goals and may include mindfulness practices, identifying personal values, exploring thoughts and emotions, and developing small, meaningful actions that move you toward those values. Sessions may also include exercises that help you step back from difficult thoughts and relate to them in a new way.Learn more about ACT here: https://my.clevelandclinic.org/health/treatments/acceptance-and-commitment-therapy-act-therapy
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Dialectical Behavior Therapy (DBT) is a structured therapy approach that combines acceptance and change to help people manage difficult emotions, cope with distress, and build healthier relationships. DBT focuses on four core areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness.
DBT teaches practical skills to help you become more aware of your thoughts and emotions, manage intense feelings, tolerate difficult situations, and communicate more effectively. The approach emphasizes both accepting yourself and your experiences while also building skills to create meaningful change.
DBT can be helpful for people experiencing intense emotions, anxiety, depression, PTSD, relationship difficulties, impulsivity, or difficulty coping with stress. It may also benefit anyone looking to develop stronger emotional regulation, distress tolerance, communication, and coping skills.
DBT therapy may include learning and practicing specific skills during and between sessions. Your therapist may use mindfulness exercises, emotion regulation strategies, distress tolerance tools, and interpersonal effectiveness skills based on your individual goals and needs. DBT can be provided individually, in groups, or through a combination of formats depending on the treatment setting.Learn more about DBT here: https://dialecticalbehaviortherapy.com
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Cognitive Behavioral Therapy (CBT) is a structured, collaborative approach that focuses on the connection between thoughts, feelings, and behaviors. CBT helps you identify patterns that may be contributing to distress and develop more effective ways of thinking, coping, and responding.
CBT focuses primarily on challenges happening in the present. Together, you and your therapist identify unhelpful thought and behavior patterns and work toward changing them. This may include cognitive restructuring, developing coping skills, practicing new behaviors, and learning strategies for managing difficult emotions.
CBT can be helpful for a wide range of concerns, including anxiety, depression, PTSD, stress, and difficulties with coping or daily functioning. It can also be helpful for anyone who wants practical tools for understanding and changing patterns that are no longer serving them.
CBT is often goal-oriented and may include exercises both during and between sessions. Your therapist may help you notice patterns in your thinking, challenge unhelpful beliefs, practice new coping strategies, and make intentional changes in your behaviors. Treatment is collaborative and tailored to your needs and goals.Learn more about CBT here: https://www.apa.org/ptsd-guideline/patients-and-families/cognitive-behavioral
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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a structured, short-term therapy designed to help children and adolescents who have experienced trauma. It combines cognitive behavioral strategies with trauma-focused interventions to help young people process difficult experiences, reduce trauma-related symptoms, and develop healthier ways of coping. TF-CBT often includes a non-offending parent or caregiver as part of treatment.
TF-CBT helps children and adolescents understand and manage their responses to trauma through psychoeducation, coping and emotional regulation skills, cognitive processing, and gradual exposure to traumatic memories. Caregiver involvement is also an important part of treatment and may focus on strengthening communication, trust, and supportive parenting skills.
TF-CBT is primarily intended for children and adolescents who have experienced traumatic events or ongoing trauma, including abuse, violence, or significant loss. It may be particularly helpful for young people experiencing symptoms such as anxiety, depression, fear, guilt, emotional distress, or post-traumatic stress.
TF-CBT is typically a short-term treatment of approximately 8–25 sessions and involves both the child or adolescent and a supportive, non-offending caregiver. Sessions may include individual time with the child, individual time with the caregiver, and joint sessions as treatment progresses. Therapy is paced to help the individual build safety and coping skills before gradually processing traumatic experiences.Learn more about TF-CBT here: https://www.psychologytoday.com/us/therapy-types/trauma-focused-cognitive-behavior-therapy
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Existential therapy is a talk therapy approach that explores what it means to be human, including questions of meaning, purpose, freedom, choice, responsibility, and connection. It can help you better understand yourself and how your choices shape your life.
Existential therapy uses open, thoughtful dialogue to explore your experiences, values, beliefs, and choices. Rather than focusing only on what has happened in the past, therapy also considers how you relate to your experiences in the present and what you want moving forward.
Existential therapy can be helpful for people experiencing anxiety, depression, grief, fear, life transitions, or a sense of feeling stuck or disconnected from meaning and purpose. It may also benefit anyone wanting to better understand themselves and create a life that feels more meaningful and fulfilling.
Sessions are typically conversational and collaborative, creating space to slow down and reflect on what matters to you. Your therapist may invite you to explore questions about identity, values, relationships, choices, meaning, and the direction you want your life to take, while supporting you in moving toward greater clarity and authenticity.
Learn more about Existential Therapy here: https://my.clevelandclinic.org/health/treatments/25089-existential-therapy
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Psychodynamic therapy is a talk therapy approach that explores how past experiences, relationships, thoughts, and feelings can shape the way you experience yourself and your relationships today. By developing greater awareness of patterns and underlying emotions, therapy can support deeper self-understanding and meaningful, lasting change.
Psychodynamic therapy creates space to explore thoughts, feelings, memories, and recurring patterns, including experiences that may be outside of your current awareness. Connecting past experiences with present-day challenges can help you better understand why you think, feel, and respond in certain ways and create new ways of relating to yourself and others.
Psychodynamic therapy can be helpful for people experiencing anxiety, depression, trauma, relationship or attachment difficulties, and other emotional or behavioral concerns. It may also be a good fit for anyone wanting to better understand themselves, explore recurring patterns, strengthen relationships, and create deeper emotional change.
Sessions are typically open-ended and conversational, with your therapist inviting you to slow down and become curious about your thoughts, feelings, memories, and relationships. Therapy may involve noticing recurring patterns, exploring the connection between past and present experiences, and processing emotions at a pace that feels safe and manageable.
Learn more about Psychodynamic Therapy here: https://my.clevelandclinic.org/health/treatments/psychodynamic-therapy
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Jungian therapy, also known as Jungian analysis, is an in-depth approach that explores both the conscious and unconscious parts of the mind. It focuses on developing a deeper understanding of yourself, including the parts of yourself you may hide, avoid, or have difficulty understanding, with the goal of creating greater balance and a stronger sense of wholeness.
Jungian therapy looks beyond current symptoms to explore the deeper experiences and patterns that may be influencing your emotional life. Therapy may include exploring dreams, memories, emotions, relationships, creativity, and what Jung referred to as the “shadow”—parts of ourselves that may be less conscious or harder to accept.
Jungian therapy may be helpful for people experiencing anxiety, depression, grief, relationship difficulties, low self-esteem, or a lack of purpose or direction. It may also be a good fit for anyone interested in deeper self-exploration and developing a greater understanding of themselves.
Jungian therapy is typically conversational and reflective, with sessions offering space to slow down and explore your inner world. Depending on your goals, your therapist may incorporate dream exploration, creative expression, reflection on recurring patterns, or exploration of past experiences and relationships. The process is individualized and focused on helping you develop greater self-awareness, integration, and authenticity.
Learn more about Jungian analysis here: https://www.psychologytoday.com/us/therapy-types/jungian-therapy
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Imagery Rescripting (ImRs) is a therapeutic technique that helps people work with distressing memories, images, or imagined future scenarios that continue to cause emotional distress. It is often used with trauma and PTSD/C-PTSD, particularly when experiences are connected to feelings such as shame, guilt, fear, or helplessness.
Rather than avoiding distressing images or memories, ImRs involves gently approaching them with the support of a therapist and imagining a different response, perspective, or outcome. This may help change the meaning attached to an experience and reduce the intensity of the emotions connected to it.
ImRs may be helpful for people experiencing PTSD, C-PTSD, intrusive memories or images, nightmares, shame, guilt, anxiety, or difficult beliefs about themselves connected to past experiences. It can also be useful for distressing images related to current situations or feared future events.
With your therapist’s guidance, you may revisit a distressing image or memory and then rescript it in a way that introduces safety, support, protection, or a different perspective. This might involve imagining your present-day self supporting a younger version of yourself, changing what happens in the image, or creating a new ending. The goal is not to change what happened, but to change how the memory is experienced and what it means to you now.
Learn more about Imagery Rescripting here: https://www.ptsduk.org/imagery-rescripting-for-ptsd/
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Feminist therapy is an integrative approach that considers how gender, culture, identity, relationships, and systems of power can shape our mental health and experiences. It recognizes that personal struggles can be influenced by social and cultural expectations and works to help clients better understand and trust their own experiences.
Feminist therapy is collaborative and emphasizes an equal, authentic relationship between therapist and client. Therapy may involve exploring the impact of social expectations, discrimination, gender roles, and other systems of power while identifying strengths, building self-esteem, and developing greater agency and choice.
Feminist therapy can be helpful for people of any gender who want to explore how identity, relationships, and cultural or societal expectations affect their mental health. It may be particularly supportive for people navigating marginalization, relationship challenges, trauma, anxiety, body image concerns, or feelings of powerlessness or disconnection from themselves.
Sessions are conversational, collaborative, and tailored to your individual needs. Your therapist may help you identify and challenge messages or expectations that no longer serve you, build self-esteem and assertiveness, and develop a stronger sense of agency and authenticity. Therapy may also incorporate body awareness, self-compassion, mindfulness, role-playing, or other practical strategies to help you feel more empowered to make choices that reflect who you are rather than what others expect of you.
Learn more about Feminist Therapy here: https://www.psychologytoday.com/us/therapy-types/feminist-therapy
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Motivational Interviewing (MI) is a collaborative, supportive approach that helps you explore mixed feelings about change and connect with your own reasons for moving forward. Rather than telling you what you should do, your therapist helps you identify what matters to you and build confidence in your ability to make meaningful changes.
MI focuses on empathy, curiosity, and collaboration. Your therapist may use open-ended questions, reflections, affirmations, and summaries to help you explore your thoughts, values, goals, and ambivalence. The process supports you in identifying the gap between where you are now and where you want to be, without judgment or pressure.
Motivational Interviewing can be helpful when you feel stuck, uncertain, or conflicted about making a change. It is commonly used around substance use and health-related behaviors, but can also support people working through other areas where motivation, readiness, or uncertainty may be getting in the way of change.
MI is often conversational and focused on helping you find your own reasons and motivation for change. Your therapist will listen closely, reflect your perspective, highlight your strengths, and help you identify realistic next steps. MI can be used on its own, as a brief intervention, or alongside longer-term therapy.
Learn more about Motivational Interviewing here: https://www.psychologytoday.com/us/therapy-types/motivational-interviewing
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Relationship and couples therapy provides a supportive space for partners to better understand one another, address relationship challenges, and strengthen their connection. Therapy can help with communication difficulties, recurring conflict, intimacy, trust, life changes, parenting, finances, or other issues affecting the relationship.
Couples therapy helps partners identify patterns that may be keeping them stuck and develop healthier ways of communicating, resolving conflict, and responding to one another. A therapist provides a supportive, neutral space where all partners can share their experiences, better understand each other’s perspectives, and work toward meaningful change.
Couples do not need to be in crisis to benefit from therapy. It can support partners who are experiencing frequent conflict, communication challenges, disconnection, intimacy concerns, major life transitions, or recurring relationship patterns they want to understand and change. Couples therapy can also be helpful for partners who want to strengthen an already healthy relationship.
Sessions typically provide space for partners to share concerns, explore emotions and relationship patterns, and practice new skills for navigating challenges together. Depending on your needs, therapy may incorporate communication and conflict-resolution skills, problem-solving, emotional exploration, and increased empathy and connection.
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Grief therapy provides a supportive space to process the emotional, psychological, and physical effects of loss. Grief is a natural response that can look different for everyone and may involve sadness, anger, guilt, numbness, confusion, or other changing emotions. Therapy can help you make sense of your experience without rushing or trying to “fix” your grief.
Grief therapy is individualized and may draw from different therapeutic approaches, including CBT, ACT, mindfulness, and other grief-focused interventions. Therapy can support you in processing difficult emotions, developing healthy coping strategies, adjusting to life after loss, and finding ways to carry your connection to what or who you have lost.
Grief therapy may be helpful for anyone navigating a significant loss, including the death of a loved one, the end of a relationship, a major life change, or another meaningful loss. It can be especially supportive when grief feels overwhelming, difficult to understand, or begins interfering with daily life.
Therapy creates space to move through grief at your own pace while developing tools to cope with what you’re experiencing. Sessions may include talking through your loss, exploring emotions and thoughts, practicing mindfulness or coping skills, and finding ways to adjust to changes while honoring what the loss means to you.
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Trauma can continue to affect how you feel, think, relate to others, and respond to the world long after an experience has ended. Post-Traumatic Stress Disorder (PTSD) can develop after a traumatic event, while Complex PTSD (C-PTSD) is often associated with prolonged or repeated trauma. Therapy can help you better understand trauma responses and work toward greater safety, stability, and healing.
Trauma therapy is individualized and may begin with safety, stabilization, grounding, and emotion regulation before moving into deeper trauma processing. Depending on your needs and your therapist’s training, treatment may incorporate approaches such as EMDR, CBT, DBT, somatic therapies, or other trauma-focused methods to help reduce symptoms, process difficult experiences, and develop healthier ways of relating to yourself and others.
Trauma therapy may be helpful for people experiencing flashbacks, nightmares, anxiety, emotional dysregulation, dissociation, avoidance, difficulty trusting others, relationship challenges, low self-esteem, or persistent feelings of fear, shame, or hopelessness following traumatic experiences. It can support people working through both single-event trauma and more complex or ongoing trauma histories.
Therapy often starts by building a trusting therapeutic relationship and developing tools to help you feel more grounded and regulated. As you feel ready, you and your therapist may gradually explore and process traumatic experiences, challenge trauma-related beliefs, and work toward greater self-compassion, connection, and a sense of control. Healing is not always linear, and therapy is paced around your individual needs and readiness.
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LGBTQIA+ Affirming Therapy is an approach that validates and supports sexual and gender minority individuals. It recognizes the impact that stigma, discrimination, and societal expectations can have on mental health while creating a space where your identity is respected, affirmed, and never treated as something that needs to be changed.
Affirming therapy provides a supportive environment to explore your experiences, identity, relationships, and mental health without judgment. Therapy may include processing experiences of stigma, bias, internalized shame, or discrimination, while also supporting self-esteem, personal growth, and a stronger sense of confidence in who you are.
This approach can benefit LGBTQIA+ individuals at any stage of exploring or understanding their identity, as well as those navigating relationships, coming out, gender identity, or experiences of stigma and discrimination. It can also support concerns such as anxiety, depression, stress, self-esteem, and relationship difficulties.
Sessions are collaborative and grounded in respect, curiosity, and affirmation. Your therapist may help you explore identity and relationships, process internalized messages or past experiences, and develop ways to navigate challenges that honor your values and sense of self. Your therapist should also bring an informed understanding of LGBTQIA+ experiences while remaining open to learning from you about your individual experience.
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Neurodivergence-affirming therapy recognizes neurodiversity as a natural part of human variation rather than something that needs to be fixed or made to conform to a particular standard. This approach focuses on understanding and supporting each person’s unique ways of thinking, communicating, processing, and experiencing the world.
Therapy centers your individual needs, strengths, and experiences rather than focusing solely on perceived deficits. A therapist may help you develop strategies for regulation, communication, sensory needs, executive functioning, relationships, or navigating environments that may not be designed with neurodivergent people in mind.
This approach may benefit autistic, ADHD, dyslexic, and otherwise neurodivergent individuals who want support that respects their neurotype and lived experience. It can be especially helpful when navigating masking, burnout, sensory differences, executive functioning challenges, self-esteem, relationships, or the pressure to fit into neurotypical expectations.
Therapy is individualized and collaborative, with an emphasis on self-understanding, self-acceptance, and practical support. Sessions may include identifying strengths and needs, developing strategies that work with your brain rather than against it, exploring the impact of masking or societal expectations, and finding ways to build a life that feels sustainable and authentic to you.
Find support that fits your needs by learning more about our specialties, therapeutic approaches, and areas of expertise.
If you’ve found something here that resonates with you, we’d love to connect. At Manifest, we offer a range of therapeutic approaches and areas of support, and we believe finding the right fit matters. Whether you’re navigating a current challenge, working through past experiences, seeking greater understanding of yourself, or looking for support through a life transition, therapy can be a space to feel seen, supported, and empowered. Reach out to learn more about how we can help and find an approach and therapist that feels right for you.